RAE CHIROPRACTIC CENTER
NPI 1487794541
Chiropractor in Boise, ID

Active since February 07, 2007
1149 W BOISE AVE, BOISE, ID 83706(208) 345-3630(208) 345-3640 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rae Chiropractic Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAE CHIROPRACTIC CENTER (NPI 1487794541) is a healthcare organization registered as a chiropractor in Boise, Idaho and active in the NPI registry since February 2007. The organization lists Donald D Rae, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1487794541
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBROADWAY CHIROPRACTIC CENTER PROFESSIONAL ASSOCIATION
Location Address1149 W BOISE AVEBoise, ID 83706-3503
Mailing Address1149 W Boise AveBoise, ID 83706-3503 · (208) 345-3630 · Fax (208) 345-3640
Fax(208) 345-3640
Organization SubpartNo
Authorized OfficialDonald D RaeOwner/ President · (208) 345-3630
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJanuary 27, 2011
NPI 1487794541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ID · C373
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1149 W BOISE AVE, Boise, ID 83706

Other Names 1

Other NameRae Chiropractic Center

Other Identifiers 4

Other000010145978ID · Blue Shield
Medicare UPINT44447ID
Medicare ID-Type Unspecified1376843ID
OtherC9511ID · Blue Cross

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1149 W BOISE AVE
BOISE, ID 83706
Chiropractor
1149 W BOISE AVE
BOISE, ID 83706
Chiropractor
1149 W BOISE AVE
BOISE, ID 83706
Chiropractor
1149 W BOISE AVE
BOISE, ID 83706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Chiropractic Center Professional Association's NPI number?

The NPI number for Broadway Chiropractic Center Professional Association is 1487794541. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is also known as Rae Chiropractic Center.

Where is Broadway Chiropractic Center Professional Association located?

Broadway Chiropractic Center Professional Association is located at 1149 W Boise Ave, Boise, ID 83706. The listed phone number is (208) 345-3630.

What is Broadway Chiropractic Center Professional Association's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Broadway Chiropractic Center Professional Association was last updated on January 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.